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1病例报告患者男,69岁。3个月前无明显诱因出现间断咳嗽、咳痰,痰中带血,无发热、盗汗、胸痛,无腹痛、腹胀,当地给予卡巴克洛、云南白药口服无好转;20天前开始出现腰痛、午后低热、盗汗及食欲缺乏,当地疾病预防控制中心考虑为结核,给予抗结核组合药物口服3个月,症状无缓解。求治我门诊,以肺结核、肺占位收入院。自发病来体重减轻约5kg。40年前患肺结核,吸烟史40年。查体:体重51kg。左肺呼吸音减弱,右肺呼吸音清。腹部无阳性体征。胸部CT:左肺上叶团块影,结核球?肺
A case report male patient, 69 years old. 3 months ago there was no obvious incentive intermittent cough, sputum, bloody sputum, no fever, night sweats, chest pain, abdominal pain, abdominal distension, local to give Cabacolo, Yunnanbaiyao oral no improvement; 20 days ago began to appear low back pain, Afternoon fever, night sweats and loss of appetite, the local CDC considered as tuberculosis, anti-TB combination drugs given orally for 3 months, no relief of symptoms. My treatment clinic, tuberculosis, lung occupancy income hospital. Since the onset of weight loss of about 5kg. 40 years ago suffering from tuberculosis, smoking history for 40 years. Physical examination: weight 51kg. Left lung breath sounds weakened, right lung breath sounds clear. No positive signs of the abdomen. Chest CT: left upper lobe block shadow, tuberculosis ball?